| Gladys Luisa Berry, DDS | |
|
8788 Jamacha Rd, Spring Valley, CA 91977-4035 | |
| (619) 515-2555 | |
| Not Available |
| Full Name | Gladys Luisa Berry |
|---|---|
| Gender | Female |
| Speciality | Dentist |
| Location | 8788 Jamacha Rd, Spring Valley, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396846036 | NPI | - | NPPES |
| G9329701 | Other | CA | DENTICAL |
| 1648856 | Other | CA | UNITED CONCORDIA |
| G9844201 | Other | CA | HEALTHY FAMILY DELTA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | CA39969 (California) | Primary |
| Entity Name | Family Health Centers Of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1447281936 PECOS PAC ID: 3476446378 Enrollment ID: O20040204000923 |
| Mailing Address | Practice Location Address |
|---|---|
| Gladys Luisa Berry, DDS 4655 Cass St, Suite 100, San Diego, CA 92109 Ph: (858) 362-3540 | Gladys Luisa Berry, DDS 8788 Jamacha Rd, Spring Valley, CA 91977-4035 Ph: (619) 515-2555 |
Nancy Sami Maroki, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 2908 Lake Breeze Ct, Spring Valley, CA 91977 Phone: 619-402-5308 | |
Dr. William Lee Boyer, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3509 Sweetwater Springs Blvd Ste 1, Spring Valley, CA 91978 Phone: 619-670-4471 Fax: 619-670-8716 | |
Dr. Marcel T. Bougher, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9950 Campo Rd, Spring Valley, CA 91977 Phone: 619-463-2097 Fax: 619-463-2521 | |
Bashar Al Badri, DDS Dentist Medicare: Medicare Enrolled Practice Location: 3002 Highlands Way, Spring Valley, CA 91977 Phone: 202-361-5240 | |
Dr. Vicente Gonzales Casibang, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 123 Worthington Street, Ste 101, Spring Valley, CA 91977 Phone: 619-475-8419 Fax: 619-472-3624 | |
Samer Namoo, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 10821 Via Timoteo, Spring Valley, CA 91978 Phone: 619-277-3903 Fax: 619-295-2385 | |
Hanan Hanna Ayoub, Dentist Medicare: Not Enrolled in Medicare Practice Location: 3054 Calavo Dr, Spring Valley, CA 91978 Phone: 951-333-4103 |